National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 1088741

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 1088741
VAERS Form:2
Age:85.0
Sex:Female
Location:New York
Vaccinated:2021-02-26
Onset:2021-02-27
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6202 / 1 UN / IM

Administered by: Other      Purchased by: ??
Symptoms: Cardiac arrest, Death, Unresponsive to stimuli, Stenosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-27
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: multiple cardiac issues, arterial/aortic stenosis
Preexisting Conditions: aortic stenosis
Allergies: unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient found unresponsive approx 16 hours after vaccination. Death listed as Cardiac arrest secondary to stenosis. Patient had inoperable cardiac issues and was reportedly in a terminal state.


Changed on 5/7/2021

VAERS ID: 1088741 Before After
VAERS Form:2
Age:85.0
Sex:Female
Location:New York
Vaccinated:2021-02-26
Onset:2021-02-27
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6202 / 1 UN / IM

Administered by: Other      Purchased by: ??
Symptoms: Cardiac arrest, Death, Unresponsive to stimuli, Stenosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-27
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: multiple cardiac issues, arterial/aortic stenosis
Preexisting Conditions: aortic stenosis
Allergies: unknown unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient found unresponsive approx 16 hours after vaccination. Death listed as Cardiac arrest secondary to stenosis. Patient had inoperable cardiac issues and was reportedly in a terminal state.


Changed on 5/21/2021

VAERS ID: 1088741 Before After
VAERS Form:2
Age:85.0
Sex:Female
Location:New York
Vaccinated:2021-02-26
Onset:2021-02-27
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6202 / 1 UN / IM

Administered by: Other      Purchased by: ??
Symptoms: Cardiac arrest, Death, Unresponsive to stimuli, Stenosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-27
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: multiple cardiac issues, arterial/aortic stenosis
Preexisting Conditions: aortic stenosis
Allergies: unknown unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient found unresponsive approx 16 hours after vaccination. Death listed as Cardiac arrest secondary to stenosis. Patient had inoperable cardiac issues and was reportedly in a terminal state.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=1088741&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166